<form class="m-formList xui-form" id="form2">
	<div class="xui-item">
		<label class="xui-lab" for="dealerType"><span>*</span>商户类型：</label>
		<div class="xui-input-block">
			<input class="xui-input-text" type="text"  name="dealerType" id="dealerType" placeholder="请选择企业类型" >
		</div>
	</div>
	<div class="dg" style="display: none">
		<div class="xui-item">
			<label class="xui-lab" for=""><span>*</span>代购商品简介:</label>
			<div class="xui-input-block">
				<input class="xui-input-text" maxlength="30" name="bizDomain" placeholder="1-30字">
			</div>
		</div>
		<div class="xui-item">
			<label class="xui-lab" for=""><span>*</span>可代购商品:</label>
			<div class="xui-input-block">
				<input type="hidden" id="dgItem" name="baseIds" style="opacity: 0;position: absolute">
				<a class="xui-short-button xui-button-red" id="chooseItem" href="javascript:;">选择可代购商品</a>
			</div>
		</div>
		<div class="xui-item" id="checked-area">
			<label class="xui-lab" for="">已选代购商品:</label>
			<div class="xui-input-block">
				<textarea id="area" readonly name="justValidate" width="305" style="width:305px;height:40px;border: 1px solid #e2e2e2;resize: none;"></textarea>
			</div>
		</div>
	</div>
	<div class="xui-item">
		<label class="xui-lab" for="enterpriseName"><span>*</span>企业名称：</label>
		<div class="xui-input-block">
			<input class="xui-input-text" type="text"  name="enterpriseName" id="enterpriseName" placeholder="请输入企业名称" >
		</div>
	</div>
	<div class="xui-item">
		<label class="xui-lab" for="businessLicenseNo"><span>*</span>营业执照注册号：</label>
		<div class="xui-input-block">
			<input class="xui-input-text" type="text" maxlength="14" id="businessLicenseNo" name="businessLicenseNo" placeholder="请输入营业执照注册号">
		</div>
	</div>
	<div class="xui-item">
		<label class="xui-lab" for="businessLicenseProvince"><span>*</span>营业执照所在省：</label>
		<div class="xui-input-block">
			<input class="xui-input-text" type="text" id="businessLicenseProvince" name="businessLicenseProvince" placeholder="请选择营业执照所在省" readonly >
		</div>
	</div>
	<div class="xui-item">
		<label class="xui-lab" for="businessLicenseCity"><span>*</span>营业执照所在市：</label>
		<div class="xui-input-block">
			<input class="xui-input-text" type="text" id="businessLicenseCity" name="businessLicenseCity" placeholder="请选择营业执照所在市" readonly>
		</div>
	</div>
	<div class="xui-item">
		<label class="xui-lab" for="commonlyUsedAddress">常用地址：</label>
		<div class="xui-input-block">
			<input class="xui-input-text" type="text" id="commonlyUsedAddress" name="commonlyUsedAddress" placeholder="请输入常用地址">
		</div>
	</div>
	<div class="xui-item">
		<label class="xui-lab" for="companyPhone"><span>*</span>企业联系电话：</label>
		<div class="xui-input-block">
			<input class="xui-input-text" type="text" id="companyPhone" name="companyPhone" maxlength="12" placeholder="">
		</div>
	</div>
	<div class="xui-item">
		<label class="xui-lab" for="businessPeriod">经营期限：</label>
		<div class="xui-input-block">
			<input class="xui-input-text" type="text" id="businessPeriod" name="businessPeriod" placeholder="请选择经营期限" readonly>
		</div>
		<div class="xui-input-block">
			<input class="xui-input-checkbox f-longTime" type="checkbox" id="businessPeriodCheck" name="businessPeriod" placeholder="请选择经营期限">
		</div>
		<label class="xui-wordAUX" for="businessPeriodCheck">长期有效</label>
	</div>
	<div class="xui-item">
		<label class="xui-lab" for="contactName"><span>*</span>常用联系人姓名：</label>
		<div class="xui-input-block">
			<input class="xui-input-text" type="text" id="contactName" name="contactName" placeholder="请输入常用联系人姓名">
		</div>
	</div>
	<div class="xui-item">
		<label class="xui-lab" for="mail"><span>*</span>邮箱：</label>
		<div class="xui-input-block">
			<input class="xui-input-text" type="text" id="mail" name="mail" placeholder="请输入邮箱">
		</div>
	</div>
	<div class="xui-pic-list">
		<div class="xui-item-pic">
			<label class="xui-pic-lab-tit" title="加盖公章企业营业执照副本扫描件" for="businessLicenseCachetPath"><span>*</span>营业执照副本扫描件：</label>
			<div class="xui-pic-block">
				<input class="xui-input-file" type="file" id="businessLicenseCachetPath" name="businessLicenseCachetPath" placeholder="请选择图片">
				<input class="xui-input-file" type="text" id="businessLicenseCachetPathtext" name="businessLicenseCachetPathtext" placeholder="请选择图片">
			</div>
			<label class="xui-pic-lab" for="businessLicenseCachetPath"></label>
		</div>
		<div class="xui-item-pic">
			<label class="xui-pic-lab-tit" title="开户许可证" for="openingLicensePath"><span>*</span>开户许可证：</label>
			<div class="xui-pic-block">
				<input class="xui-input-file" type="file" id="openingLicensePath" name="businessLicenseCachetPath" placeholder="请选择图片">
				<input class="xui-input-file" type="text" id="openingLicensePathtext" name="openingLicensePathtext" placeholder="请选择图片">
			</div>
			<label class="xui-pic-lab" for="openingLicensePath"></label>
		</div>
		<div class="xui-item-pic">
			<label class="xui-pic-lab-tit" title="其他（如：食品流通许可证）" for="foodDistributionLicensePath"><span>*</span>其他（如：食品流通许可证）：</label>
			<div class="xui-pic-block">
				<input class="xui-input-file" type="file" id="foodDistributionLicensePath" name="foodDistributionLicensePath" placeholder="请选择图片">
				<input class="xui-input-file" type="text" id="foodDistributionLicensePathtext" name="foodDistributionLicensePathtext" placeholder="请选择图片">
			</div>
			<label class="xui-pic-lab" for="foodDistributionLicensePath"></label>
		</div>
	</div>
	<div class="xui-item">
		<div class="xui-input-block" style="margin-left: 140px;">
			<input class="xui-button xui-button-red m-i-btn" type="submit" value="完成">
		</div>
	</div>
</form>
